老年良性前列腺增生病人用药依从性及影响因素的横断面调查研究

目的:了解老年良性前列腺增生(BPH)病人用药依从性,分析影响用药依从性的影响因素.方法:采用横断面调查的方法,调查BPH病人用药依从性现状,并采用多因素logistic回归方法分析用药依从性的影响因素.结果:共纳入406例BPH病人,仅47.3%病人用药依从性良好.病人年龄、教育程度、婚姻状况、国际前列腺症状评分(IPSS)、服药种类和合并其他疾病间用药依从性差异均有统计学意义(P<0.01),多因素logistic回归分析结果显示,影响用药依从性的因素为教育程度、婚姻状况、IPSS评分和服药种类和合并其他疾病(P<0.01),多因素logistic回归分析结果显示,影响用药依从性的因素为教育程度、婚姻状况、IPSS评分和服药种类(P<0.05~P<0.01).结论:BPH病人服药依从性差,教育程度、婚姻状况、IPSS评分和服药种类影响病人用药依从性.建议开展健康教育、加强病人心理护理和建立用药依从性随访制度以提高用药依从性.

A cross-sectional study on the medication compliance and its influence factors in elderly patients with benign prostatic hyperplasia

Objective:To analyze the medication compliance in elderly patients with benign prostatic hyperplasia(BPH),and influence factors of compliance.Methods:The medication compliance in elderly patients with BPH was investigated using the cross-sectional study method.The influence factor of medication compliance was analyzed using logistic regression analysis.Results:Among 406 elderly patients with BPH,only 47.3% patients were with good medication compliace.Multivariate logistic regression analysis showed that the age,education level,marital status,IPSS score,drug type and comorbidity were the influence factors of the medication compliance (P<0.05 to P<0.01).Conclusions:The medication compliance of patients with BPH is poor,and the education level,marital status,IPSS score and drug type are the influence factors of medication compliance.Developing the health education and strengthening the psychological care of patients,and establishing the following up system of medication compliance can improve the medication compliance.